Video & Transcript Research : 'policy setting'
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CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Jun 30th, 2026
Transcript Highlights:
- the bill is set to be regulated by a private right to action.
- to set it.
- I'm the senior policy strategist at Sierra Club California.
- Yeah, I mean, ultimately, this is a public policy question, how that you support the public policy.
- There was a major policy in terms of Ms.
Summary:
The committee heard testimony on several bills, beginning with SB 16, which would require county behavioral health directors to create clear pathways for clinicians to be authorized to initiate 5150 involuntary holds. The author and supporters argued the bill would reduce reliance on law enforcement and create more consistent crisis response standards statewide, while county behavioral health directors opposed it as an unfunded mandate that could increase law enforcement involvement and create implementation burdens. Members raised questions about county costs and funding, but the author emphasized the bill’s role in building a more clinical response system.
SB 561 would require public guardians to acknowledge conservatorship referrals, make determinations within a reasonable time, and provide status updates on request. Supporters said the bill would reduce delays that leave vulnerable adults in limbo, while the opposition from public guardian representatives was removed after amendments. SB 381 drew extensive public testimony in support; it would allow California-born adoptees, and descendants of deceased adoptees, access to original birth certificates, with a nonbinding contact preference form for birth parents. Supporters framed the bill as a matter of dignity, identity, and health, and there was no formal opposition on the record.
The committee also discussed SB 880, which would give tenants and prospective owner-occupants notice and a first opportunity to make an offer when institutional investors sell certain homes. Supporters said it would expand homeownership opportunities and preserve neighborhood stability, while opponents warned about conflicts with federal law, bundled-sale restrictions, and impacts on build-to-rent and affordable housing projects. Members and the author discussed possible amendments to address those concerns. SB 1238 would impose a duty of care and additional transparency requirements on HOA managers and boards; supporters said it would protect homeowners from mismanagement, while the main opposition argued the duty should remain contractual and could increase litigation. Finally, SB 423 would require disclosure of emergency-service records related to private detention facilities, and SB 28 would make changes to the CARE Court process, including a statewide ombudsperson and expanded oversight; both drew support and opposition, with concerns focused on transparency, privacy, implementation, and the balance between treatment and coercion. SB 574, discussed at the end, would require disclosure and human oversight for AI use in courts and legal practice and create a complaint process for ADR providers, with the State Bar noting requested amendments related to complaint handling and confidentiality.
NH
New Hampshire 2026 Regular Session
House Labor, Industrial and Rehabilitative Services (04/14/2026)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- This bill would allow an employer to set that policy so that they don't have multiple different arrangements
- policies upfront. policies upfront.
- They read the policy. If they like the policy, they come to work for us.
- They bless our policy.
- their policies, etc.
MN
Minnesota 2025-2026 Regular Session
House committee approves bill to eliminate Public Safety Advisory Council, HF1257 3/11/25
Transcript Highlights:
- <00:01:37.200>
some <00:01:37.320>of <00:01:37.439>the <00:01:37.600>policies - <00:01:38.200>
and was as some of the policies and was as some of the policies and statutory - To accomplish this, the statute calls for citizen involvement in policing policies, regulations, and
- citizen involvement in policing policies citizen involvement in policing policies regulations<00
- constitution W with a non-negotiable set constitution W with a non-negotiable set of<00:09:52.279
Summary:
House File 1257, which would eliminate the Public Safety Advisory Committee to the POST Board, was the final bill heard. The bill’s sponsor argued the committee was created in 2020 in response to post-Floyd criminal justice reforms but had since become obsolete because local agencies and communities had created their own oversight bodies and the main POST Board still includes citizen members and public participation. The sponsor said the advisory committee had run out of issues to address and was effectively meeting just to justify its existence.
Former Representative Carlos Mariani testified in opposition, saying the committee was a bipartisan part of the 2020 Minnesota Police Accountability Act and was intended to preserve citizen involvement in policing policy and protect civil and human rights after George Floyd’s murder. He argued that eliminating it would weaken a state-level structure created to rebuild public trust and ensure consistent oversight, while still allowing local efforts to continue. Another member asked about compensation and noted the committee has a $20,000 ongoing appropriation through the POST Board; the sponsor clarified members are not individually compensated beyond per diem and travel.
After discussion, the sponsor renewed the motion to recommend re-referral to the General Register. The committee voted, and the motion carried, sending House File 1257 to the General Register.
TX
Transcript Highlights:
- So just setting that background.
- Now, the policy.
- The data set in front of me but I can absolutely send that to you. We do have a complete data set.
- So, when we talk about legislation, we don't come here trying to set property tax policy, that is y'all's
- decision on policy.
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 3/18/26
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- <00:03:54.440>
through and carried paid leave policy through and carried paid leave policy - I have one long-term disability policy, which I call my cancer policy, because it will only cover any
- <00:07:00.200>
I long-term disability policy, which I long-term disability policy, which I - /c><00:58:50.840>
out <00:58:51.000>policy sense is where um we set out policy sense is - where um we set out policy goals,<00:58:52.080>
allocate <00:58:52.520>amounts <00:58:52.880
Keywords:
workforce development, appropriations, nonprofit organizations, employment services, state funding, paid leave, S corporations, employment law, exemptions, Minnesota Statutes, cancer, healthcare, appropriation, Rural Cancer Institute, Minnesota clinicians, pilot program, nursing, education, University of Minnesota, equity
WA
Washington 2025-2026 Regular Session
House Early Learning & Human Services Dec 5th, 2025
Transcript Highlights:
- We have public policy.
- Foster care is intended to be a temporary setting for children.
- This is also very positive in that the group home setting...
- The research isn't strong that group home settings—I'm distinguishing between a setting where children
- Policy and practice within the agency.
Summary:
The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea.
The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination.
Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.
MN
Minnesota 2025-2026 Regular Session
Rules and Administration - Subcommittee on Ethical Conduct - Part 2 - 05/05/25
Rules and Administration - Subcommittee on Ethical Conduct
Transcript Highlights:
- 24.479>
know Um, and that, um, to pin a probable cause for this unique situation is going to set - But I think that to tie this incident to Senator Champion without having had those expectations set in
- a precedence that um is going to set a precedence that we're<00:03:08.560>
not <00:03:08.720>< - Um, we're not talking about any type of connection broadly or even policy.
- Let's go fight to change that policy. Nobody here is claiming there's any problem with that.
TX
Transcript Highlights:
- But I'm just wondering how it squares with the public policy behind that.
- We're not going to agree on the policy.
- And you're setting up a...
- Which are civil service cities, and they already use this exact policy.
- We talked in committee today that this would be precedent-setting, but I think it's also precedent-setting
Bills:
SB 2, SB 5, SB 10, SB 9, SB 7, SB 17, SB 4, HB17, HB7, HB7, HB15, HB15, HB27, HB1, HB7, HB15, HB18, SB9, SB7, SB17, SB4, HB17, HB27, HB1, SB8, HCR13, SB2, SB5, SB10
Keywords:
disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments
NH
Transcript Highlights:
- Set.
- <01:36:59.119>
um making policy or responding to policy um making policy or responding to - District policy shall not prohibit—so the school district policies are written.
- So I think this sets out a good policy to work with.
- policy to work with this sets out a good policy to work with so<01:42:52.560>
I <01:42:52.639>
CA
California 2025-2026 Regular Session
Assembly Local Government Committee Mar 12th, 2025
Transcript Highlights:
- The general plan has been a venue for policy innovation and experimentation.
- This sets the heights and mass of buildings.
- These are what's going to build us for a future and set us up.
- They won't contain all the details that are required to implement a policy or program.
- But in the guidelines, HCD had the data sets linked.
Summary:
The committee first heard AB 253, by Assembly Member Ward and presented by Assembly Member Quirk-Silva, which would allow licensed third-party professionals to review certain post-entitlement permits if a local building department would take more than 30 days. Supporters, including California YIMBY, the California Chamber of Commerce, the Housing Action Coalition, the Bay Area Council, SPUR, and Abundant Housing LA, said the bill would reduce permitting delays and help housing production. League of Cities and the California State Association of Counties expressed concerns but were not formally opposed. Members voiced strong support, and the bill passed the committee 10-0 to Appropriations.
The committee then held an informational hearing on California’s general plan. The first panel, led by UC Davis professor Catherine Brinkley, gave an overview of the general plan structure, required elements, update cycles, and the new PlanSearch database that makes adopted plans searchable statewide. She emphasized that general plans are long-term, locally tailored documents that integrate housing, transportation, safety, environmental justice, and other policy areas, and noted that many plans and elements are outdated. Members asked about update timelines, public participation, and whether AI tools could help with drafting and analysis.
A second panel of local government representatives described the practical challenges of preparing and updating general plans, especially in rural and small jurisdictions. Speakers from Calaveras County, Sacramento, San Joaquin County, and Fountain Valley cited staffing shortages, consultant availability, funding constraints, CEQA and outreach costs, changing state mandates, and the difficulty of keeping plans aligned with local conditions and board turnover. They asked for more funding, more time, clearer prioritization, and more flexibility. A third panel from the Governor’s Office of Land Use and Climate Innovation explained its role in issuing general plan guidelines, technical advisories, and annual planning surveys, and said it is updating its guidance through 2027 to reflect recent housing, climate, safety, environmental justice, and open space laws. No public comment was offered, and the informational hearing was adjourned.
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- And if it doesn't, what are the ramifications for us from a public policy point of view?
- And as Charlie alluded to, I spent a very long time at Disability Policy Consortium.
- They come out with a second set of standards.
- The Massachusetts second set of standards... ...the Massachusetts second set of standards got repealed
- This is a policy choice. This is...
Summary:
The Permanent Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from Colin Killick of the Autistic Self-Advocacy Network on disability discrimination in crisis standards of care during COVID-19. He described how Massachusetts and other states initially used standards that prioritized longer life expectancy and, in some cases, quality-adjusted life years (QALYs), which he argued devalued the lives of disabled people and older adults. He also discussed related issues such as denial of transplants, pressure on disabled patients to sign do-not-resuscitate orders, and inequities affecting communities of color. He said disability advocates, legal groups, and public officials pushed back through litigation, media, and organizing, leading to revisions of Massachusetts’ standards and the eventual inclusion of disability advocates in the drafting process.
Killick also discussed vaccine rollout, saying disabled people were initially under-prioritized but later gained broader access and more accessible vaccination options such as ASL interpretation and in-home vaccination. He closed by urging support for S. 869, an act relative to preventing discrimination against persons with disabilities in the provision of health care, which he said would ban disability-based discrimination in crisis standards, prohibit QALYs in health care decision-making, and add protections against coerced DNRs. He noted the bill had been favorably reported out of the Health Care Financing Committee but still needed support.
In questions, members asked why the bill had not advanced further; Killick said earlier opposition from QALY supporters had been resolved, and the main barrier now was lack of legislative prioritization. Members thanked him for the presentation and for the work on revising crisis standards. The subcommittee then completed roll call, approved the prior minutes, and adjourned, noting the next meeting would be August 31.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (02/06/2025)
Health and Human Services
Transcript Highlights:
- placement in an appropriate setting placement in an appropriate setting outside<00:53:29.520>
- <01:04:11.760>
our for the from the hospital setting our for the from the hospital setting - setting setting parody<01:31:22.880>
requirements <01:31:23.719>were <01:31:23.920> - You obviously set some standards.
- You know, we are the policy makers; we'll implement the policy that you passed.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Mar 25th, 2025
Transcript Highlights:
- So I'd like to kick it off with the Learning Policy Institute.
- Here's another set of data that comes out.
- There are no proposed policy changes to the program.
- For background, There are no proposed policy changes to the program.
- Jake Bremner, I'm the deputy director for policy and public affairs.
Summary:
The Assembly Budget Subcommittee on Education Finance heard an extended discussion on state efforts to recruit, prepare, and retain teachers, with a focus on whether current programs are sustainable and well targeted. Testimony from the Learning Policy Institute, the Commission on Teacher Credentialing, the Department of Education, and the Legislative Analyst’s Office described persistent shortages, especially in special education, math, science, bilingual education, and high-need schools. Speakers emphasized that residency programs, Golden State Teacher Grants, National Board incentives, classified employee pathways, and undergraduate teacher pipelines have helped increase preparation and retention, but many of these efforts rely on one-time funding and lack long-term certainty. Committee members repeatedly raised concerns about the “leaky pipeline,” working conditions, the burden of student debt, and whether the state should simplify and institutionalize support for aspiring teachers rather than rely on a patchwork of grants.
The agencies presented data showing continuing shortages and uneven distribution of fully credentialed teachers. CTC reported projected hiring needs of roughly 20,000 to 25,000 teachers annually, with the highest needs in self-contained classrooms, special education, and certain regions of the state. It also noted that emergency permits, waivers, and intern credentials remain high, and that teachers entering through those routes have higher turnover. LPI cited research showing residency-prepared teachers are more effective and more likely to stay, and argued that Golden State Teacher Grants attract candidates who might not otherwise enter teaching and help them complete preparation. CDE stressed that most new demand comes from attrition and urged support for multiple entry points, tuition assistance, and campus-based coursework. Several members also discussed the role of community college pathways, dual credentialing, and support for school leaders as part of retention.
The LAO recommended rejecting the educator pipeline proposals under discussion, citing limited evidence of effectiveness and suggesting that any new spending should be more narrowly targeted to the highest-need schools and long-standing shortage subjects. The LAO also said that if the Legislature funds new programs this year, Proposition 98 would be preferable given the state’s fiscal condition. Committee members pushed back on the idea that declining enrollment or layoffs would solve shortages, noting that shortages and layoffs can coexist in different subject areas and regions. The discussion ended with agreement that staff would continue working with agencies on how to make teacher pipeline investments more consistent, coherent, and easier for candidates to navigate.
The committee then turned to the Golden State Teacher Grant Program. Finance proposed $50 million in one-time General Fund support to extend the program for one additional year, while the LAO recommended rejecting the proposal because the first CSAC evaluation is not due until later in the year and because the funding would be non-Proposition 98. CSAC supported the extension, saying demand has been strong, over 20,000 aspiring educators have been served since 2021, and the agency had to pause applications after receiving more than 9,200 this year; it also said more than 2,500 candidates had already expressed interest for next year. Members asked how many students the new funding would serve, and CSAC estimated just under 5,000 awards at $10,000 each. The discussion also covered whether the grant could be moved into Proposition 98 and how the one-time nature of the funding affects confidence among prospective teachers.
FL
Florida 2026 4th Special Session
January 29, 2026 - 12:30 PM
Transcript Highlights:
- These policies are priorities for the federal government.
- to create policies for folks who...
- For example, for SNAP, H.R. 1 sets the minimum...
- This policy—this is a policy that has been in place for nearly a decade, and this bill is looking to
- These are not abstract policy changes.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Every heat injury and death is really a policy failure.
- I've taken care of older adults in long-term care settings, acute care settings, community-based settings
- But they often will still have a sort of uniform set of criteria.
- out to outpatient settings.
- Department of Social Services and the General Assembly of Connecticut were really playing more of a policy-setting
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Agriculture (9-18-25)
Transcript Highlights:
- Kentucky Office of A Policy. Kentucky Office of A Policy.
- Senate Bill 28 set up the structure for the board, and then House Joint Resolution set up the $5 million
- Senate Bill 28 set up the structure for the board, and then House Joint Resolution set up the $5 million
- So they have already set up their out.
- I appreciate you all putting that policy I appreciate you all putting that policy in<00:15:18.320
Summary:
The committee met and approved the August 21, 2025 minutes. The main presentation came from Brandon Reid of the Kentucky Office of Agriculture Policy, who reported that implementation of the Kentucky Agriculture Economic Development Board created by Senate Bill 28 and House Joint Resolution 31 is ahead of schedule. He said the board has been appointed and has met several times, has adopted guidelines and an application process, and has launched its application on the KDA website. He also noted new staffing, including a project manager, and said the office is already working on projects, though some are confidential because of coordination with the Economic Development Cabinet and nondisclosure agreements. Members praised the effort and emphasized the importance of having agriculture represented in economic development work. Reid also described ongoing outreach by Commissioner Jonathan Shell, including farmer appreciation and classroom visits across the state.
The committee then heard from Lexington Mayor Linda Gorton and Bluegrass Ag Tech Development Corp. executive director Jacob Ball about the Bluegrass Ag Tech Development Corp., a public-private partnership involving Lexington-Fayette, the Kentucky Department of Agriculture, the University of Kentucky, and Altech. They said the organization aims to make Kentucky a national and international hub for ag tech, and that it has already awarded challenge grants to startups. Ball explained that the program focuses on animal protein, nutrition, sustainability, mid-size farm solutions, and Kentucky traditions such as distilling and equine. He reported that two rounds of grants have totaled $925,000, with the first round’s seven companies leveraging that into nearly $7 million in follow-on investment, supporting 56.5 Kentucky jobs and creating more than a dozen new jobs. The presentation also highlighted statewide outreach, including applications and engagement from counties across Kentucky, and the goal of expanding participation in eastern Kentucky.
Members expressed support for both initiatives and discussed the value of agriculture-specific expertise in economic development. Reid said the Department of Agriculture and the Economic Development Cabinet maintain regular communication and that the new board gives agriculture a seat at the table for future site and industry recruitment efforts. No additional votes or formal actions were taken beyond approval of the minutes.
MO
Missouri 2026 Regular Session
Substance Abuse Prevention and Treatment Task Force Jun 24th, 2026
Substance Abuse Prevention and Treatment Task Force
Transcript Highlights:
- That's a drug policy, a supply-side issue.
- That's a drug policy, a supply side.
- SUD policy should work really... SUD policy should work really early on too.
- He had already left many treatment settings in the past.
- He had already left many treatment settings in the past.
Summary:
The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health.
Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present.
Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.
ND
North Dakota 2025-2026 Regular Session
Tribal and State Relations Committee Apr 13th, 2026
Transcript Highlights:
- I work with the Turtle Mountain Band of Chippewa Law and Policy Department.
- I don't know what I am today, but I also work with the Department of Law and Policy.
- I know we have a policy that was online.
- I guess I'm not really sure how this works with policy. Well, you and me both.
- exclusion any SED services provided in these smaller settings.
Summary:
The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems.
A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements.
The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all.
No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.
TX
Transcript Highlights:
- There are dollars set aside for residency slots at different hospitals.
- Under policy issues and recommendations.
- So the HEAF methodology is set in statute.
- The current funding is set in statute after a 2.2% is set aside for the Texas State Technical College
- FTE amounts are set at $20.25 per year.
TX
Transcript Highlights:
- It does not make the policies necessarily readable, if you've looked at your own policy.
- The big problem that we've run into is... ...policies and compare policies apples to apples.
- And the policy count for that same year was 8,233,000 policies, which was more policies than in 2024.
- 8,233,000 policies, which was more policies than in 2024.
- The policy forms aren't filed.